Arizona Center for Integrative Medicine

Environmental medicine is based on the premise that what we eat or are exposed to in our environment has a direct effect upon our health. It examines the impact of air pollutants, pesticides, heavy metals, toxins and other environmental factors on the health of individuals and populations. From historical environmental events like lead poisoning in ancient Rome to the potential impact of phthalates in modern times, this course explores the interaction between the environment and human health, and its role in mediating disease.

Designed for medical and nursing personnel, in this Environmental Medicine course you will examine the importance of considering environmental factors in virtual patient cases; develop a working knowledge of the strengths and limitations of environmental health research; and understand why certain populations, such as children, are particularly vulnerable. After completing this course, you will be better prepared to give informed and insightful responses to patients' questions about the ever-evolving field of environmental medicine.

Thanks to Blackstone Ranch Institute

Thanks to an unrestricted educational grant from the Blackstone Ranch Institute we are able to offer this course free of charge.

Curriculum

• Introduction to Environmental Medicine
• Taking an Environmental Medicine History
• From Environment to Exam Room
• Air
• Land
• Water
• Patient Waiting Room
• Emerging Research
• Wrap Up
• Exam
• Course Evaluation

Enrollment

You will have a maximum of 90 days access to the material from the start date. If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.

Course Fees

All learners - $180.
Thanks to an unrestricted educational grant from the Blackstone Ranch Institute we are able to offer this course free of charge.

Credit

The University of Arizona College of Medicine at the Arizona Health Sciences Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine at the Arizona Health Sciences Center designates this Enduring Material activity for a maximum of 6 AMA PRA Category 1 Credit(s).^TM Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Release date: November 14, 2011
For a period of 2 years
Expiration date: November 14, 2013

Nursing Credits

This continuing nursing education activity was approved by the American Holistic Nurses Association, an accredited approver by the American Nurses Credentialing Center's COA.
Approved through April 9, 2014

Approval for contact hours through the AHNA is based on an assessment of the educational merit of this program and does not constitute endorsement of the use of any specific product or modality in the care of clients.

This project is supported in part by the generous donations of:

• The Onota Foundation
• The Samuel P. Black Family Fund of the Erie Community Foundation
• The Blackstone Ranch Institute
• and other generous individuals.

Target Audience

Physicians, nurse practitioners, physician assistants, and nurses with an interest in environmental medicine, as well as other health practitioners who have interest in integrative medicine.

Learning Objectives

At the end of this course, participants will be able to:

1. Appraise the emerging research links between environmental toxins and the documented rise of complex chronic illness; such as obesity, metabolic syndrome, cancers, neurodevelopmental disorders and reproductive health, and identify how an integrative medicine model may be applied in both prevention and treatment.
2. Identify the primary categories of chemical toxins present in the environment, and interpret how their mechanism of actions may impact human health.
3. Recognize and identify the range of toxins known to demonstrate endocrine disruptor activity in humans.
4. Identify vulnerable patient populations in terms of environmental toxin exposures.
5. Apply a structured approach to taking an environmental medicine history that includes consideration of potential toxins in air, land, and water.
6. Acquire familiarity with consumer resources that can help individuals reduce unnecessary environmental toxin exposures, and recognize how cultural and socioeconomic status may influence their number of exposures and ability to limit exposure.
7. Assess the impact of some of the emerging technologies and agricultural practices on environmental medicine and how they are affecting human health.
8. Identify several resources for patients and clinicians interested in environmental advocacy.

Faculty

Faculty & Authors from The University of Arizona College of Medicine,
Tucson, Arizona

Hilary McClafferty, MD, FAAP, Assistant Director of the Fellowship, Arizona Center for Integrative Medicine

Tieraona Low Dog, MD, Clinical Associate Professor of Medicine; Director of the Fellowship, Arizona Center for Integrative Medicine

Andrew Weil, MD, Clinical Professor of Medicine; Director and Founder, Arizona Center for Integrative Medicine

Guest Faculty

Julia Jernberg, MD, Clinical Assistant Professor of Medicine, University of Wisconsin-Madison

Patrice Sutton, MPH, Research Scientist, Program on Reproductive Health and the Environment, National Center of Excellence in Women's Health, University of California, San Francisco

Irene Ruhoy, MD, PhD, Director of the Institute for Environmental Medicine, Associate Professor of Basic and Clinical Sciences, Touro University School of Osteopathic Medicine

Mark Miller, MD, MPH, Assistant Clinical Professor of Pediatrics and Occupational and Environmental Medicine, University of California, San Francisco; Director of the University of California San Francisco Pediatric Environmental Health Specialty Unit

Joseph Zirneskie, MD

Nathan Daley, MD, MPH, Director of Medical Programs, Leonardi Institute

Disclosures

Faculty & Author Disclosures

The following faculty have disclosed that they have no financial interest, arrangement, or affiliation that would constitute a conflict of interest concerning this CME activity. All of the faculty have stated that their presentations do not include discussion of commercial products or devices or unlabeled/investigational drug use.

Tieraona Low Dog, MD Hilary McClafferty, MD, FAAP Julia Jernberg, MD Irene Ruhoy, MD, PhD

Patrice Sutton, MPH Joseph Zirneskie, MD Nathan Daley, MD, MPH Mark Miller, MD, MPH

The University of Arizona College of Medicine
at the Arizona Health Sciences Center

CONTINUING MEDICAL EDUCATION COMMITTEE (2011 - 2012) DISCLOSURES

Srikar Adhikari, MD, MS, RDMS, Associate Professor, Emergency Medicine

Helen Amerongen, PhD, Research Assistant Professor and Associate Department Head, Teaching Cell Biology & Anatomy

Edward D. French, PhD, Professor, Pharmacology

Lisa M. Kopp, DO, Assistant Professor, Clinical Pediatrics

John M. Harris Jr., MD, MBA, Director, OCME

Drs. Adhikari, Amerongen, French, Kopp, and Harris have stated that they have no potential conflicts to disclose.

Raymond B. Runyan, PhD, Professor, Cell Biology & Anatomy - Dr. Runyan has stated that he receives Grant/Research Support from Edwards Lifesciences, Irvine, CA

Sammy C Campbell, MD, Medical Director, CME, Professor, Medicine - Dr Campbell has stated that he has served as a consultant for Schering Pharmaceuticals and is on the Speakers' Bureau for Schering Pharmaceuticals and Astra-Zeneca

Planning Committee

The following planning members have disclosed that they have no financial interest, arrangement, or affiliation that would constitute a conflict of interest concerning this CME activity.

Tieraona Low Dog, MD
Hilary McClafferty, MD, FAAP
Molly Burke, MFA, BA, CMT
Amy Rae Som, MSEd
Priscilla Abercrombie, RN, NP, PhD, AHN-BC (Nurse Planner)

The following have disclosed that they have a financial interest, arrangement, or affiliation that would constitute a conflict of interest concerning this CME activity.

Andrew Weil, MD:
University of Arizona:
Director, Arizona Center for Integrative Medicine
Clinical Professor of Medicine
Professor of Public Health
Lovell-Jones Professor of Integrative Rheumatology (endowed chair)

Weil Foundation (www.weilfoundation.org): Founder and Chairman of the Board

Miraval Resort: Director of Integrative Health

University of New Mexico School of Medicine:
Clinical Associate Professor, Dept. of Internal Medicine, Volunteer Faculty

Council on Complementary and Alternative Medicine: Chairman,
Dubai Healthcare City, United Arab Emirates

Weil Lifestyle LLC: Member

Licensees:
IdeaSphere Inc./Weil Nutritional Supplements
Weil Juvenon
Key Baby/Weil Baby
Lucini Italia Organics, endorsed by Dr. Andrew Weil (olive oils)
Origins Natural Resources (one of the Estee Lauder Companies/ Dr. Andrew Weil for Origins)
Vasyli/Orthaheel/ Dr. Andrew Weil Integrative Footwear
Vita Foods/Weil by Vita Foods
Vital Choice Seafood/Weil for Vital Choice
Weil by Dansk (Lenox Corp.)/Healthy Kitchen Collection

Website (www.drweil.com): Editorial Director

Consultant:
California Walnut Commission
Fungi Perfecti

Ongoing Writing/Broadcasting Commitments:
Oxford University Press, editor, Weil Integrative Library
Prevention Magazine, monthly column "Ask Dr. Weil"

Author of the following books:
Spontaneous Happiness
Why Our Health Matters: A Vision of Medicine that Can Tranform Our Future, issued in paperback with new content added as You Can?t Afford to Get Sick
Healthy Aging: A Lifelong Guide to Your Physical and Spiritual Well-Being
The Healthy Kitchen: Recipes for a Better Body, Life, and Spirit (with Rosie Daley)
Eating Well for Optimum Health: The Essential Guide to Food, Diet, and Nutrition
8 Weeks to Optimum Health
Spontaneous Healing: How to Discover and Enhance Your Body?s Natural Ability to Maintain and Heal Itself
Natural Health, Natural Medicine: The Complete Guide to Wellness and Self-Care for Optimum Health
Health and Healing: The Philosophy of Integrative Medicine and Optimum Health
From Chocolate to Morphine: Everything You Need to Know About Mind-Altering Drugs (with Winifred Rosen)
The Marriage of Sun and Moon: Dispatches from the Frontiers of Consciousness
The Natural Mind: A Revolutionary Approach to the Drug Problem

Advisory Boards and Committees:
American Botanical Council
American Herbal Pharmacopaeia
American Medical College of Homeopathy
British College of Integrated Medicine/Integrative Health Trust
The Center for Contemplative Mind in Society
Earth Save Foundation
Foundation for Integrative AIDS Research
Herb Research Foundation
Holistic Health Research Foundation of Canada
Institute for Integrative Medicine
Integrative Cancer Therapies
Integrative Medicine Alliance
Integrative Psychiatry (journal, editorial board)
Journal of Science of Healing Outcomes (editorial board)
David and Lura M. Lovell Foundation
National Wellness Coalition
New York Botanical Gardens 2010 Exhibit on Medicinal Plants
The Organic Center
Prevent Cancer Foundation
Scripps Center for Integrative Medicine
Simonton Cancer Center
Steps for Living
Yellow Courtyard

True Food Kitchen restaurants/Good Food LLC, Member

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models, not actual patients.

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.